Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $309.03	Professional		$154.88	$181.97	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $512.86	Professional		$331.13	$416.87	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $263.03 / $794.33	Facility		$186.21	$263.03	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $524.81	Professional		$165.96	$263.03	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $407.38	Professional		$338.84	$371.54	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $354.81	Professional		$208.93	$302.00	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $467.74	Professional		$199.53	$316.23	$467.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $346.74	Professional		$295.12	$346.74	$346.74